Application Form VACANCY DETAILS PERSONAL DETAILS DECLARATION

Transcription

1 Please read the guidelines for completing the application form before you start to fill in this form. Additional sheets or CVs should not be submitted with the application form. Any information contained within additional sheets or CVs will not be considered. Your application form will be photocopied. You should therefore ensure that all sections are completed as legibly as possible in black ink and/or in typescript. Please speak with a member of the Human Resources team if you require any reasonable adjustments to the application form or application process under provisions of the Equality Act. Pages 1 and 2 of this form will be removed prior to the assessment of applications. VACANCY DETAILS Position applied for Job reference How did you hear about this vacancy? PERSONAL DETAILS Surname Title Forename(s) Address Telephone number Date of birth Mobile number Nationality address Do have the right to work in the UK? Yes No DECLARATION I certify that all information provided on this application form is correct. I understand that my application may be rejected or that I may be dismissed for withholding relevant details or giving false information. I understand that any employment offer will be subject to satisfactory references, health review, evidence of qualifications and security checks. Signature Date If you complete this form electronically and submit it to Human Resources via please type in your name into the signature box to indicate that you have read the declaration. Human Resources use only Page 1

2 EQUAL OPPORTUNITIES MONITORING The Information Commissioner s Office is committed to providing equality of opportunity for all and opposes all forms of unlawful or unfair discrimination on the grounds of sex, race, nationality, ethnic origin, marital status, age, sexuality, religious belief or disability. In order to ensure the effectiveness of our policy and to meet legal requirements, we monitor the numbers of staff in post and the numbers of applicants for employment, training, and promotion by reference to the characteristics listed below. All information is confidential. This form will be separated from your application before consideration of candidates takes place and will not be available to those involved in the selection process. The Information Commissioner s Office will store the data confidentially and for the production of de-personalised statistics. Gender: Female Male Disability: The Equality Act defines a disabled person as anyone who has, or has had, a physical or mental impairment which has a substantial and long term effect on their ability to carry out normal day to day activities. Taking the above information into account, do you consider yourself to be disabled? Yes No If Yes please provide details Please indicate any arrangements which would facilitate a more comfortable interview if you are short listed. Ethnic origin: Tick one box from the section below to indicate your ethnic group. The categories are as recommended by the Equality and Human Rights Commission. White British English Irish Scottish Any other white background Welsh Mixed White and Black Caribbean White and Black African White and Asian Any other mixed background Asian, Asian British, Asian English, Asian Scottish or Asian Welsh Indian Pakistani Bangladeshi Any other Asian background Black, Black British, Black English, Black Scottish or Black Welsh Caribbean Any other Black background African Chinese, Chinese British, Chinese English, Chinese Scottish, Chinese Welsh or other ethnic group Chinese Any other ethnic background Human Resources use only Page 2

3 EDUCATION AND QUALIFICATIONS Please state where these were obtained if outside the UK Secondary and further education Subjects/courses studied Level Result/grade Higher education Subjects/courses studied Degree and type/diploma/certificate Result/grade Subject of postgraduate research (if any) Professional/occupational training/qualifications Professional or other qualifications, membership of professional societies and date admitted where relevant. Other specialised training, non-qualification courses attended, knowledge or experience You may continue any section from this page on page 7 continuation sheet if necessary. Human Resources use only Page 3

4 EMPLOYMENT HISTORY Include any temporary or voluntary employment as appropriate. If you are a student, or have only recently left further education, please give details of any work experience, with dates and name of your employer. CURRENT OR MOST RECENT EMPLOYMENT Job title employed Address (including postcode) Basic salary Bonus Other remuneration Other benefits Telephone no. Notice period May we contact you at work? Yes No /wishing to leave Brief description of duties, responsibilities and skills used. (You may continue on page 7 continuation sheet if necessary) Please continue on page 7 continuation sheet if necessary Human Resources use only Page 4

5 PREVIOUS EMPLOYMENT (Most recent first) Please continue on page 7 continuation sheet if necessary Human Resources use only Page 5

6 ADDITIONAL INFORMATION Drawing on your personal and work experience, education and training outline here how you satisfy the requirements of this job as detailed in the person specification and job description. You should also state why you are interested in this position. You may continue on page 7 continuation sheet if necessary. Human Resources use only Page 6

7 CONTINUATION SHEET You may use this page to continue any of the previous sections. Please mark each section clearly. Please do not provide any additional sheets or CVs to accompany your form. Information not contained on this form will not be considered when assessing your application. Human Resources use only Page 7

8 AVAILABILITY FOR INTERVIEW Please provide details of any dates that you will not be available for interview. REFERENCES Please provide two references. These may be from a combination of employer and academic sources. One referee must be your current or most recent employer. Academic referees may be used where there has not been any recent employment. Personal references are not acceptable. We may request additional references if we feel this is necessary. References may be taken up prior to interview unless you have asked us not to do so. Where this permission is not given, references will be requested after a conditional offer is made. Name Address Job title Organisation Tel No. What is your working relationship with this person? May we contact them prior to an interview? Yes No Name Address Job title Organisation Tel No. What is your working relationship with this person? May we contact them prior to an interview? Yes No Thank you for completing this form. The information you have given will not be disclosed to a third party without your permission. PLEASE RETURN YOUR COMPLETED FORM TO: recruitment@ico.org.uk or Human Resources Department, Information Commissioner s Office, Wycliffe House, Water Lane, Wilmslow, Cheshire, SK9 5AF. (Mark your envelope Private and Confidential ) Please be aware that s you send us, and those that we may send to you, are not secure as messages can be intercepted. We will hold your information securely, but there can be no guarantee of privacy with communication. Therefore we advise you do not to any information which, if disclosed to unrelated third parties, would be likely to cause you distress. You should perform your own virus checks on any s you receive. Human Resources use only Page 8